Information Collection

SNAP CATI Client Survey

IC 203952 under ICR 201209-0584-001 · OMB 0584-0572.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A - SNAP Extra Help CATI Client Survey.docx	Other-Appendix A-SNAP Extra Help CAT
Appendix B - SNAP Extra Help CATI Client Survey_Spanish.docx	Other-Appendix B-SNAP Extra Help CAT
Appendix H- Advance Letter Revised 10 12 12.docx Appendix H-Advance Letter	IC Document
Appendix I - Locating Letter Revised 10 12 12.docx Appendix I-Locating Letter	IC Document
Appendix J - ThankYou Letter Revised 10 12 12.docx Appendix J-Thank You Letter	IC Document
Appendix K-Tribal Letter NM 10 12 12 .docx Appendix K-Tribal Letter to New Mexico	IC Document
Appendix L - Tribal Letter WA 10 12 12 .docx Appendix L-Tribal Letter to Washington	IC Document
Appendix M - Advance Letter_SPANISH_REVISED 10 12 12.docx Appendix M-Advance Letter-Spanish	IC Document
Appendix N - Locating Letter_SPANISH 10 12 12.docx Appendix N-Locating Letter-Spanish	IC Document
Appendix O - ThankYou Letter_SPANISH 10 12 12.docx Appendix O-Thank You Letter-Spanish	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix A-SNAP Extra Help CATI Client Survey					Yes	No	Fillable Fileable
Other-Appendix B-SNAP Extra Help CATI Client Spanish Survey					Yes	No	Fillable Fileable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: FNS-8 USDA/FNS Studies and Reports

FR Citation: 56 FR 19078

Number of Respondents: 4,803

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,803	4,803
Annual IC Time Burden (Hours)	1,729	1,729
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix H-Advance Letter		10/15/2012
Appendix I-Locating Letter		10/15/2012
Appendix J-Thank You Letter		10/15/2012
Appendix K-Tribal Letter to New Mexico		10/15/2012
Appendix L-Tribal Letter to Washington		10/15/2012
Appendix M-Advance Letter-Spanish		10/15/2012
Appendix N-Locating Letter-Spanish		10/15/2012
Appendix O-Thank You Letter-Spanish		10/15/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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